Organization
LIFESPAN PHYSICIAN GROUP, INC.
Active
Organization
LIFESPAN PHYSICIAN GROUP, INC.
Active
Other names
BROWN HEALTH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RAWNSLEY (VP REVENUE CYCLE)
(401) 444-6905
Entity
Organization
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
12/05/2025
Last updated
05/27/2026
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